Titlebook: Surgical Repair and Reconstruction in Rheumatoid Disease; Alexander Benjamin,Basil Helal Textbook 1980Latest edition Alexander Benjamin an

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The Elbow,pend upon a certain degree of elbow movement in both flexion/extension and rotation. Stability is also important, for it becomes a weight-bearing joint when crutches are used; thus, in considering surgical priorities, it may be necessary to solve an elbow problem in advance of lower limb surgery to

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The Wrist, level. The wrist joint is frequently the keystone in reconstructive surgery of the hand and provides a sound base upon which satisfactory finger function depends. Its influence on more distal structures may be direct by disturbance of the tendons passing distally over it or indirect by inducing com

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The Hand,sability and, apart from episodes of acute synovitis, pain is not a prominent feature. Patients nevertheless will often attend early for a disfiguring lump such as a rheumatoid nodule on the skin (figure 12.1).

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The Rheumatoid in Society,1 1/2 million rheumatoid arthritics in the UK. Seventy per cent of these are women. In other developed countries of the temperate zone of the northern hemisphere, similar proportions of the population are affected. In the UK, 31 000 men and 104 000 women are disabled by rheumatoid arthritis and have

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